NPIMap

Centracare Clinic Southwest LLC

A Medicare group practice based in Willmar, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8426457946), with 261 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8426457946The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
2
Group size
172 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20210602002802 MN Part B Supplier - Clinic/Group Practice 1174106264
O20220218001675 MN DME Supplier - Multi-Specialty - Physician 1912664889

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 261

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Clinicians who reassign their Medicare benefits to this group (261) or whom Care Compare lists as members (172).

Sources for this page